Individual
ELIZABETH BONINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-6350
Mailing address
519 MOUNTAIN VIEW AVE, SANTA ROSA, CA 95407-8258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RI-B0905180955
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
07/15/2009
Last updated
07/15/2025
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